Ultrasonography for evaluation of hamstring tendon diameter: is it possible to predict the size of the graft?
ConclusionPreoperative ultrasound imaging of the semitendinosus and gracilis tendons does not present a statistically significant correlation with the intraoperative measurement of the quadruple hamstring graft for ligament reconstruction.ResumoObjetivoFazer a mensuração pré-operatória dos tendões flexores do joelho com o uso do exame de ultrassonografia, validar e correlacionar o valor medido com aquele encontrado durante a reconstrução cirúrgica do ligamento.MétodosEstudo transversal com 24 pacientes submetidos a mensuração ultrassonográfica dos tendões dos músculos semitendÃneo e grácil e posteriormente ...
Source: Revista Brasileira de Ortopedia - July 5, 2018 Category: Orthopaedics Source Type: research
Case report: treatment of Fournier's gangrene of the shoulder girdle
The objective is to report a case of Fournier's gangrene involving the region of the shoulder girdle after closed fracture of the clavicle, and to discuss this unusual evolution. The patient underwent a series of surgical procedures and was followed up on an outpatient basis for 12 months, at which point she was discharged. Fournier's gangrene is an aggressive lesion and requires early diagnosis (clinical-laboratory correlation) with the appropriate adequate surgical approach and clinical stabilization.ResumoA gangrena de Fournier é uma infecção rara e com alta mortalidade que acomete o tecido subcutâneo, com necrose r...
Source: Revista Brasileira de Ortopedia - July 5, 2018 Category: Orthopaedics Source Type: research
Arthroscopic rotator cuff repair: single-row vs. double-row – clinical results after one to four years
ConclusionNo statistically significant difference was found between SR and DR arthroscopic rotator cuff repair performed by a single surgeon in the comparative analysis of UCLA and ASES scores.ResumoObjetivoAvaliar e comparar os resultados do reparo artroscópico de lesões do manguito rotador feito pelas técnicas da fileira única (FU) e da fileira dupla (FD).MétodosDe dezembro de 2009 até maio de 2013 foram feitos 115 reparos artroscópicos do manguito rotador com o uso de âncoras de sutura. Após a aplicação dos critérios de exclusão, restaram 75 pacientes (79 ombros) para serem avaliados retrospectivamente, dos...
Source: Revista Brasileira de Ortopedia - July 5, 2018 Category: Orthopaedics Source Type: research
Total knee arthroplasty in patients with permanent patella dislocation. Report of two cases and literature review
The objective of the study is to report two rare cases of severe osteoarthritis with permanent dislocation of the patella that underwent total knee arthroplasty, in addition to a review of the literature on the subject and related surgical technique. Total knee arthroplasty with using the medial parapatellar approach associated with lateral release was a good surgical option in patients with permanent patellar dislocation associated with advanced osteoarthritis.ResumoA ocorrência de luxação permanente da patela associada a osteoartrite grave é considerada rara e de tratamento difÃcil. A literatura é bastante controve...
Source: Revista Brasileira de Ortopedia - July 5, 2018 Category: Orthopaedics Source Type: research
Tibial tubercle fracture associated with distal rupture of the patellar tendon: case report
Publication date: Available online 11 June 2018Source: Revista Brasileira de Ortopedia (English Edition)Author(s): André Lourenço Pereira, Ângelo Ribeiro Vaz de Faria, Túlio VinÃcius de Oliveira Campos, Marco Antônio Percope de Andrade, Guilherme Moreira de Abreu e SilvaAbstractAvulsion of the tibial tubercle is an uncommon injury that occurs in the young athlete, resulting from an eccentric contraction of the extensor mechanism with the leg fixed to the ground. Concomitant injuries to the patellar tendon are very rare, with few cases reported in the literature. The authors present a case of a 15-year-old basketball ...
Source: Revista Brasileira de Ortopedia - July 5, 2018 Category: Orthopaedics Source Type: research
Terrible triad of the elbow: evaluation of surgical treatment
ConclusionDespite the total loss of range of motion of the elbow, especially in extension, the treatment was satisfactory for most patients.ResumoObjetivoEste estudo tem o objetivo de analisar, retrospectivamente, os resultados clÃnico- funcionais e radiográficos do tratamento cirúrgico da trÃade terrÃvel do cotovelo, com no mÃnimo doze meses de acompanhamento pós-operatório, avaliando a função do cotovelo.MétodosDefinimos um grupo de pacientes para avaliação retrospectiva no perÃodo de 2004 a 2015, no qual foram estudados 12 pacientes, submetidos a procedimento cirúrgico devido a fratura da cabeça do rádi...
Source: Revista Brasileira de Ortopedia - July 5, 2018 Category: Orthopaedics Source Type: research
The femoral tunnel view test during ACL reconstruction can ensure tunnel integrity
ConclusionThe femoral tunnel view test is effective for ensuring the integrity of the femoral tunnel during ACL reconstruction, without increasing the surgical time and without an increase in the complications rate.Clinical relevanceThe femoral tunnel view test is a quick and straightforward test able to provide an adequate view of the patient's anatomy to ensure tunnel integrity during ACLR.ResumoObjetivosA violação da cortical femoral posterior pode ser complicação intraoperatória devastadora na reconstrução do ligamento cruzado anterior (RLCA), pode levar à perda de fixação ou à falha precoce do enxerto. Este...
Source: Revista Brasileira de Ortopedia - July 5, 2018 Category: Orthopaedics Source Type: research
Bone metastasis as the first symptom of tumors: role of an immunohistochemistry study in establishing primary tumor
ConclusionThe study showed that the primary sites and their incidence rate are consistent with the literature reviewed. It was noted that in this sample, most patients did not present with pathologic bone fracture as the first clinical symptom of neoplastic disease. However, analysis of those patients that had a metastasis as the first clinical symptom revealed that it manifested itself as a pathologic fracture in almost all cases. The immunohistochemical study was consistent with the primary tumor site in most cases, indicating the value of the method in the detection of the primary site.ResumoObjetivosDeterminar a contri...
Source: Revista Brasileira de Ortopedia - July 5, 2018 Category: Orthopaedics Source Type: research
Bankart lesion repair: biomechanical and anatomical analysis of Mason-Allen and simple sutures in a swine model
ConclusionsRepair of Bankart lesions with Mason-Allen suture provides increased labrum height; however, it does not increase the pullout strength.ResumoObjetivoAvaliar a altura labral e a resistência ao arrancamento do reparo da lesão de Bankart em articulação glenoumeral de suÃnos, com âncoras duplamente carregadas com duas configurações de sutura: simples e tipo Mason-Allen.MétodosForam usados dez ombros suÃnos, nos quais foram criadas as lesões de Bankart. Para cada espécime foi feita a sutura da lesão com suturas tipo Mason-Allen e simples de forma aleatória. A altura labral foi mensurada previamente à c...
Source: Revista Brasileira de Ortopedia - July 5, 2018 Category: Orthopaedics Source Type: research
Epidemiological study on calcaneus fractures in a tertiary hospital
ConclusionPatients with calcaneus fractures, most commonly young men, were admitted to a high complexity care hospital, victims of a fall from a height with associated injuries. The great severity of these fractures is characterized by the high prevalence of bilateral (19.2%) and compound fractures (28.9%) in this population group.ResumoObjetivoAnalisar a epidemiologia e as caracterÃsticas das lesões e dos pacientes com fraturas do calcâneo.MétodosRevisão retrospectiva dos pacientes com fraturas do calcâneo internados de 2006 a 2010, no Instituto de Ortopedia e Traumatologia dessa instituição. Foram analisados parÃ...
Source: Revista Brasileira de Ortopedia - July 5, 2018 Category: Orthopaedics Source Type: research
Epidemiological study on calcaneus fractures in a tertiary hospital
Conclusion Patients with calcaneus fractures, most commonly young men, were admitted to a high complexity care hospital, victims of a fall from a height with associated injuries. The great severity of these fractures is characterized by the high prevalence of bilateral (19.2%) and compound fractures (28.9%) in this population group. (Source: Revista Brasileira de Ortopedia)
Source: Revista Brasileira de Ortopedia - June 13, 2018 Category: Orthopaedics Source Type: research
Bone metastasis as the first symptom of tumors: role of an immunohistochemistry study in establishing primary tumor
Conclusion The study showed that the primary sites and their incidence rate are consistent with the literature reviewed. It was noted that in this sample, most patients did not present with pathologic bone fracture as the first clinical symptom of neoplastic disease. However, analysis of those patients that had a metastasis as the first clinical symptom revealed that it manifested itself as a pathologic fracture in almost all cases. The immunohistochemical study was consistent with the primary tumor site in most cases, indicating the value of the method in the detection of the primary site. (Source: Revista Brasileira de Ortopedia)
Source: Revista Brasileira de Ortopedia - June 12, 2018 Category: Orthopaedics Source Type: research
The femoral tunnel view test during ACL reconstruction can ensure tunnel integrity
Conclusion The femoral tunnel view test is effective for ensuring the integrity of the femoral tunnel during ACL reconstruction, without increasing the surgical time and without an increase in the complications rate. Clinical relevance The femoral tunnel view test is a quick and straightforward test able to provide an adequate view of the patient's anatomy to ensure tunnel integrity during ACLR. (Source: Revista Brasileira de Ortopedia)
Source: Revista Brasileira de Ortopedia - June 12, 2018 Category: Orthopaedics Source Type: research
Terrible triad of the elbow: evaluation of surgical treatment
Conclusion Despite the total loss of range of motion of the elbow, especially in extension, the treatment was satisfactory for most patients. (Source: Revista Brasileira de Ortopedia)
Source: Revista Brasileira de Ortopedia - June 12, 2018 Category: Orthopaedics Source Type: research
Bankart lesion repair: biomechanical and anatomical analysis of Mason-Allen and simple sutures in a swine model
Conclusions Repair of Bankart lesions with Mason-Allen suture provides increased labrum height; however, it does not increase the pullout strength. (Source: Revista Brasileira de Ortopedia)
Source: Revista Brasileira de Ortopedia - June 12, 2018 Category: Orthopaedics Source Type: research
